Organization Active NPI

Thomas H Fields Jr MD LLC

  • Otolaryngology Physician
  • Monroe, LA
National Provider Identifier
1568637940
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
THOMAS H FIELDS JR MD LLC
Practice address
405 Roselawn Ave
Monroe, LA 71201-5345
Phone
(318) 387-0551
Fax
(318) 322-1961
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas H Fields Jr., MD
Title
Owner
Phone
(318) 387-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X LA Primary

Addresses

Primary practice location

405 Roselawn Ave
Monroe, LA 71201-5345

Mailing address

405 Roselawn Ave
Monroe, LA 71201-5345
Phone (318) 387-0551

Other identifiers 1

IdentifierTypeStateIssuer
1068781MedicaidLA

National Provider Directory

National Provider Directory

Locations

405 Roselawn Ave
Monroe, LA 71201
Phone (318) 387-0551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1568637940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ROSELAWN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015345",
            "telephone_number": "318-387-0551",
            "fax_number": "318-322-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ROSELAWN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015345",
            "telephone_number": "318-387-0551",
            "fax_number": "318-322-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H FIELDS JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-387-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.